Canine Cough Release Form

Please complete the form below to submit the Canine Cough Release online. You can also click the button below to download and print the form.

DOWNLOAD

Name *

First

Last

Email *

Our kennel requires the vaccinations to be given prior to boarding at the Gardner Animal Care Center. *

My pet(s) has been vaccinated LESS than 72 Hours prior to boarding against bordetella bronchiseptica and I understand there is a greater risk of infection.
My pet has been vaccinated MORE than 72 hours prior to boarding against bordetella bronchiseptica and I understand that no vaccine is guaranteed 100%; and that bordetella is meant to help prevent against the most common/viruses transmitted between pets; and understanding that bordetella, calici virus, rhinotracheatis and panleukopeina arenot only upper respiratory virus infections (URI) that are easily spread by pets in close proximity; and that the transmission of most URI’s is often when the pets are not exhibiting signs.

In the event my pet(s) are diagnosed with canine cough after boarding, I acknowledge the Gardner Animal Care Center took the necessary precautions to prevent infection and informed me of the risk of infection. I do, therefore, release the Gardner Animal Care Center from any responsibility. *

I have read and understand.

Signature *

Please type your full name.

Date *

Name